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OTTO ROSENA U& ASSOCIATES, INC.
<br /> CONCRETE REPORT 1 5 3 9 9 1
<br /> rigiaMialIZEMIEWAIN
<br /> Permit Number:
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<br /> Project: T - Client:
<br /> t-, . 14 ,41.A S7fiv1. .sS,elm.,.
<br /> Address: c:4,. ....-4.----t- Address:
<br /> Inspector/Date:r.- (c..._ C71 IffiniEN Contractor:
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<br /> Resteel verified: , , Date/Checked by: .')MEENINIEMIE Grade: .... ,' Manufacturer:
<br /> Supplier: P c Cement (lbs/type):: ii/ r
<br /> Mix Number: 111 •',[C, fia Fine Agg. (lbs): 1 , 2 ;( ,
<br /> Slump Spec: i t E Coarse Agg. (lbs/size): 1/r:• ;; ,
<br /> W/C Ratio Spec: (-: 7 Coarse Agg. (lbs/size): .- ,
<br /> Air Spec: Slag Cement(lbs):
<br /> Total Yards: Fly Ash (lbs): ,f5.,.y
<br /> Placed via: .,t,•.t Water(lbs or gal): i;7* -,
<br /> Consolidated: (;yes. / no ) Admixtures(specify):
<br /> Required Strength (psi): L ..+•.-
<br /> Total#of Samples Cast: (--k, Total#of Field Cures: Curing Method/Location: ?
<br /> Water C 143 C 231 C1064
<br /> Cast Samples Special Time Cubic Added Air% Conc. Ambient Truck Ticket
<br /> Break Da s Size Made Yards to Load Slump Test Tern. Tem. No. No.
<br /> Weather: t._ ,t_ ,., t Slump Range: Air%Range:
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<br /> -ram' .qr»,.X:. _ �"AE
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<br /> IIIInspected by: 4",e-- ""' �0''✓�.� Reviewed by:
<br /> #' (Signature)
<br /> Start Time: Finish Time:
<br /> This report applies only to the items tested or reported and is the exclusive property of Otto Rosenau&Associates, Inc. Reproduction of this report,
<br /> except in full,without written permission from our firm is strictly prohibited.
<br /> Page of
<br /> 6747 M.L.King Way S.,Seattle,Washington 98118-Phone(206)725-4600 or 1-888-OTTO-4-US-Fax(206)723-2221
<br /> Form No.:INSP-62-05(Rev 05/13)
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